南方医科大学学报 ›› 2015, Vol. 35 ›› Issue (04): 594-.

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单侧横突拉簧加压建立兔脊柱侧凸模型

李伦超,刘湘,朱青安,黄志平,任海龙,郑帅,李广军,杨德鸿,王吉兴   

  • 出版日期:2015-04-20 发布日期:2015-04-20

Establishment of a rabbit model of scoliosis induced by asymmetric load using springs

  • Online:2015-04-20 Published:2015-04-20

摘要: 目的利用单侧横突拉簧加压法建立兔脊柱侧凸模型。方法两月龄新西兰白兔10只,手术予L2、L5右侧横突挂载拉簧。
术前、术后1、4 及8 周摄X线正侧位片,测量Cobb角及拉簧长度,术后8 周摄片后,随机将10 只新西兰白兔分为两组:取拉簧
(Spring removal, SR)组和保留拉簧组(Spring keeping, SK)各5只,取出SR组兔子体内拉簧,于9周和12周摄X线正侧位片,测
量Cobb角及后凸角。12周后取所有兔顶椎及其上线椎体行Micro-CT扫描,记录顶椎上下终板的骨体积分数(BV/TV)。用方
差分析或非参数检验及Student t检验对实验结果进行统计学分析。结果至实验结束时,兔全部存活,Cobb角均大于10°。术
后1、4、8周不同时间点Cobb角及后凸角都大于术前(P<0.05)。术后8周,SR组与SK组的Cobb角、后凸角以及拉簧长度均无明
显差异(P>0.05),取出拉簧后至12周,SK组的Cobb角及后凸角都较SR组要大(P<0.05),期间SR组的Cobb角及后凸角都逐渐
减小。Micro-CT结果示凹侧终板骨体积分数要大于凸侧。整个实验过程中,拉簧形变量(ΔL)均无统计学差异(P>0.05)。结论
单侧横突拉簧加压模型是一种可重复率高、简单易操作且实验周期短的动物脊柱侧凸模型。

Abstract: Objective To establish rabbit model of scoliosis induced with stable asymmetric lumbar loads. Methods Scoliosis was
induced in 10 two-month-old New Zealand rabbits using 316L stainless steel springs placed between the unilateral transverse
processes of L2 and L5. Serial radiographs were documented before and at 1, 4, 8, 9 and 12 weeks after the operation. At weeks,
the rabbits were randomly divided into SR group (n=5) with the spring removed and SK group (n=5) without spring removal.
Results All the rabbits survived the experiment with Cobb angle all greater than 10°at the end of the experiment. Significant
changes were found in the Cobb angles and kyphotic angles at 1, 4 and 8 weeks after the operation (P<0.05). At 8 weeks, the
Cobb angle, the kyphotic angle and the length of the spring were similar between SR and SK groups (P>0.05), and in the 4
weeks following spring removal in SR group, the Cobb angle and the kyphosis decreased significantly compared with those in
SK group (P<0.05). Micro-CT showed that the BV/TV of the concave side was greater than that of the convex side. The length of
the spring did not show obvious changes during the experiment (P>0.05). Conclusion Asymmetric lumbar loading is a
convenient, time-saving, and highly reproducible approach for establishing rabbit models of scoliosis.